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Optimizing Noninvasive Stimulation to Treat Gait Problems in Parkinson Disease

Published:February 07, 2020DOI:https://doi.org/10.1016/j.apmr.2019.10.198
      We read with great interest the study from Xie et al
      • Xie Y.J.
      • Gao Q.
      • He C.Q.
      • Bian R.
      Effect of repetitive transcranial magnetic stimulation on gait and freezing of gait in Parkinson’s disease: a systematic review and meta-analysis.
      on the effects of repetitive transcranial magnetic stimulation (rTMS) on gait and freezing of gait (FoG) in Parkinson disease (PD). The authors showed that rTMS can reduce the walking performance in individuals with PD during the short-term, but has no major effect in the long-term. Additionally, the difference between rTMS and no intervention in the scores of the FoG and timed Up and Go test were reported to be insignificant. Given that gait problems can be resistant to levodopa and directly affect the quality of life in PD, this review is timely because transcranial magnetic stimulation is increasingly implicated in a growing list of neurologic disorders.
      • Latorre A.
      • Rocchi L.
      • Berardelli A.
      • Bhatia K.P.
      • Rothwell J.C.
      The use of transcranial magnetic stimulation as a treatment for movement disorders: a critical review.
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      References

        • Xie Y.J.
        • Gao Q.
        • He C.Q.
        • Bian R.
        Effect of repetitive transcranial magnetic stimulation on gait and freezing of gait in Parkinson’s disease: a systematic review and meta-analysis.
        Arch Phys Med Rehabil. 2020; 101: 130-140
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